Organization
CENTER FOR DISCOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA MARIE MARSICANO LMSW (SOCIAL WORKER)
(845) 707-8133
Entity
Organization
Contact information
Practice address
606 OLD ROUTE 17, MONTICELLO, NY 12701-7013
(845) 707-1400
Mailing address
606 OLD ROUTE 17, MONTICELLO, NY 12701-7013
(845) 707-1400
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
074701
NY
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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